PAST PERFORMANCE QUESTIONNAIRE PSC 53

PAST PERFORMANCE QUESTIONNAIRE

FOR BLANKET PURCHASE AGREEMENT TO: Bolt, Nut, Screw, Rivet & Washer Manufacturing Offeror’s Name:
Offeror’s Phone Number:
Offeror’s Address:
Contract order number:
Item description:
Cost:

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365760064389000Name of agency/activity completing questionnaire: Name and title of the person completing questionnaire:

Length of time your agency/activity has been involved with the Offeror:

SUBMIT PAST PERFORMANCE QUESTIONNAIRE TO:

Naval Surface Warfare Center
4081 N. Jackson Road, Bldg 841 Indian Head, MD 20640-5115 Barbara Grinder, Code 023E

E-mail address: [email protected]

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Please use the following guidelines to answer the questions. The Offeror’s Past Performance will be considered ACCEPTABLE or UNACCEPTABLE as detailed below:

EVALUATION CRITERIA

ACCEPTABLE-The Offeror’s performance of previously awarded relevant contract(s) met or exceeded contractual requirements. The assessed prior performance was accomplished with very minor problems or some problems for which corrective actions taken, or proposed to be taken, by the Offeror were, or are expected to be, mostly effective. Performance over completed contracts ranged from adequate to the highest quality or exhibited a trend of becoming so. The Offeror’s past performance record leads to an expectation of successful performance.

UNACCEPTABLE-The Offeror’s performance of previously awarded relevant contract(s) did not meet some contractual requirements and recovery did not occur within the period of performance. The assessed prior performance reflected some serious problem(s) for which the Offeror either failed to identify or implement corrective actions in a timely manner, or for which the corrective actions implemented or proposed to be implemented were, or are expected to be, partially or mostly ineffective. Performance over completed contracts was consistently of mediocre or poor quality or exhibited a trend of becoming so. The Offeror’s past performance record leads to an expectation that successful performance will not be achieved, or might be difficult to achieve, or that it can occur only with increased levels of Government management and oversight.

5075555-891540

ACCEPTABLE

UNACCEPTABLE

ACCEPTABLE

UNACCEPTABLE

CUSTOMER SATISFACTION

The referenced contractor was responsive to the customer’s needs.